TERMS OF REFERENCES CQS KR 3.1
on hiring a Consultant
Logistics of trainings 1-3 (training of Kyrgyz specialists: medical coordinators, nurse-registrars and specialists of the Ministry of Health and territorial compulsory health insurance funds): Organization of travel, accommodation of participants, rent of premises, coffee breaks, infomaterials).

1.	General regulations
The Health Caravan Project (hereinafter referred to as the Project) is being implemented in the Kyrgyz Republic.
The purpose of the Project is to improve prevention and detection of diseases in the population of rural and hard-to-reach areas. Assessment of the consequences of COVID-19 infection and prescription of treatment or rehabilitation therapy to patients.
The Project is executed according to the Project Implementation Manual. It includes three parts: 
•	Institutional capacity building of the medical institutions for diagnosis and prevention of the diseases in rural and hard to reach areas of the country. 
•	Organization of preventive examinations, primary prevention of disease, and health education for the population in rural and hard-to-reach areas of the country on the basis of road trains. 
•	Project management.

2.	Problem statement
According to the published analytical materials, the health situation in the Kyrgyz Republic is improving, the number of medical institutions is increasing, and the share of citizens with first-time detected chronic non-infectious and infectious diseases is decreasing. Intensification of work to promote a healthy lifestyle in the country, conducting preventive medical examinations gives positive results. At the same time, the wide coverage of the population with this medical care is hindered by the fact that the majority of citizens live in rural, mountainous and hard-to-reach areas of the republic (in the country about 90% of settlements are located in such areas).
Analysis of morbidity in the country shows a high proportion of respiratory diseases and tuberculosis in particular. Timely detection of tuberculosis during preventive examinations of the population will make it possible not only to prescribe timely treatment but also to prevent further spread of airborne infection in the area.
Analysis of population mortality from circulatory diseases in the republic significantly exceeds the frequency of this indicator for other nosologies. Obviously, this is due to the lack of opportunities to immediately detect this pathology and in indicated cases to quickly get the necessary medical care. Training of the population in methods of prevention of this pathology and symptoms that require immediate treatment should improve the situation.
The implementation of the program of providing medical services to the population of the country "Health Caravan" is aimed at improving the situation in this area of health care.
Preventive medical examinations are planned to be carried out with the help of road trains (mobile clinics).
The order of the first stage of preventive medical examinations under the project regulates the issues related to their conduct among adults and adolescent girls.
Preventive medical examinations will be conducted for the purpose of early (timely) detection of diseases (conditions) or risk factors leading to their development. Timely detection of citizens with chronic non-infectious and infectious diseases, risk factors for their development, as well as dispensary monitoring of these population groups will reduce disability and mortality, including able-bodied population. In addition, the timely detection of infectious diseases and the improvement of anti-epidemic measures will make it possible to limit their spread.
Given the inaccessibility of many settlements of the Kyrgyz Republic due to its landscape (many settlements are located in remote mountainous areas), preventive medical examinations in these areas under the project will be carried out in mobile diagnostic complexes as part of special road trains.

3.	The goal of the assignment
Conduct and technical support of 3 (three) seminars in accordance with the seminar program
 (Annex 1), including:
- Two simultaneous seminars at one site in the Kyrgyz Republic to train monitoring specialists, doctors, and paramedics who will conduct preventive examinations for primary disease prevention and health education in rural areas of the country;
- one seminar in Moscow to train technical specialists (drivers, engineers and technicians) who will service road mobile clinics and complete medical equipment of the Health Caravan Project.

4.	Consultant selection criteria
To conduct and provide technical support for the seminar, it is necessary to involve a firm on a competitive basis.
The assessment of the proposals will be based on the following main criteria:
- At least 4 years of experience in organizing congress events;
- the applicant has at least 3 similar combined training events with the number of participants 50 and more with the organization of travel (including transfer) and accommodation of participants;
- stable business relations with local transport companies, with companies providing venues for events in the region of the seminar. 
- availability of positive references from previous customers.

5.	Scope and content of the Consultant's services
The involved Consultant will have to provide the following services and prices for these services:

At the preparation stage:

5.1	Production of printed materials: 
•	Publication of information materials for seminar participants (program, lecturers' presentations, questionnaires, etc.) and additional information provided by the Customer;
•	Production of badges, plates, registration forms.

5.2	Procurement of consumables and stationery:
•	Notebooks, pens, paper clips, pencils, markers, etc. in sufficient quantity, based on the number of participants and by agreement with the organizer;
•	Consumables: A4-size white paper, sufficient amount of cartridges, based on the needs of teachers, and as agreed with the organizer.

During the seminar:
5.3. Rent of premises for organizing and conducting seminars (meeting room, classrooms, rooms for accommodation of seminar listeners).
Places of seminars and accommodation in the Kyrgyz Republic and Moscow are to be agreed with the Customer:
Seminars (daily from 9:00 to 18:00 in the Kyrgyz Republic) for doctors, paramedics and monitoring specialists.

Seminars in the Kyrgyz Republic for doctors, paramedics, and monitoring specialists.
•	Premises for meetings held in one building:
•	A hall for plenary sessions for 70 people for 3 days;
•	and three auditoriums for 20 people each for theoretical and practical sessions with the possibility of video demonstration and wireless Internet access for 3 days.
Accommodation of listeners in a hotel (7 nights):
To order rooms for accommodation in the sanatorium/ boarding house/hotels in the Issyk-Kul oblast or similar class sanatorium or hotel complex with full board (without sanatorium services) and provide accommodation for 60 listeners and 6 teachers of the seminar.
Seminar in Moscow for technical specialists and drivers
Premises for holding meetings:
Auditorium for 15 listeners for theoretical classes with the possibility of video demonstration and wireless Internet access - 1 day.
Accommodation in a hotel (3 nights):
To order rooms for accommodation in a 3-star hotel and provide accommodation for 12 seminar listeners, 1 person each, in a room according to the accommodation lists given by the Customer; and to provide them with meals during the accommodation period three times a day.
5.4. Rent, installation and adjustment of equipment for training and practical work of seminar participants, service personnel, organization of lecture work held in the Republic of Tajikistan - 6 days:
- 3 notebooks;
- 1 laser printer;
- 3 projectors with a screen;
- 3 flip charts;
- 1 photocopier;
- Providing access to wireless Internet on the whole site of the event.

6.	Transportation of seminar participants and lecturers.
In this point, transportation is understood as transportation by comfortable buses (or minibuses).

6.1 Seminar in the Kyrgyz Republic, transportation of listeners.
- Organize local air travel for 30 listeners from Jalal-Abad, Osh and Batken oblasts from Batken, Osh, Jalal-Abad airports to Bishkek airport. If necessary, in case of lack of flights from the airports of Batken and Jalalabad, travel of the listeners to the airport of Osh (departure airport) and back (on return from the seminar) from the cities of Jalalabad and Batken regions. The exact number of trainees from each locality will be determined no later than 30 days before the seminar.
- Organize transportation by 3 minibuses for 30 listeners from Bishkek to the seminar venue in Issyk-Kul oblast and back to Bishkek at the end of the seminar and by 3 minibuses for 30 listeners from Bishkek airport to the seminar venue and back to Bishkek airport at the end of the seminar.
6.2 Seminar in the Kyrgyz Republic, transportation of teachers.
- Organize the flight of 6 teachers from Moscow of the Russian Federation to Bishkek and back from Bishkek to Moscow. Organize travel of 6 teachers from the airport of Bishkek to the seminar venue in Issyk-Kul region and back from the seminar venue to the airport of Bishkek. (city of departure and city of return (Moscow) can be changed in case teachers will be in other cities).
- Organize transportation for 6 teachers from their place of residence to the airport and back in Moscow. 

6.3 Seminar in Moscow, Russian Federation.
- Organize flight of 6 technical specialists and drivers from Bishkek and 6 technical specialists and drivers from Osh, Kyrgyz Republic to Moscow, Russian Federation. Organize travel of 12 technical specialists and drivers from the airport to the place of accommodation.
- Organize 1 trip for 12 technical specialists and drivers on the first day - from the place of accommodation to the seminar venue (if necessary) and back.
- Organize 1 trip for 12 technical specialists and drivers on the second day - from the place of accommodation to the training site of the supplier of Caravan of Health vehicles in Moscow of the Russian Federation and back.
- Organize travel of 12 technical specialists and drivers from the place of accommodation to the airport. Organize flight of technical specialists and drivers from Moscow of the Russian Federation to Bishkek (6 people) and Osh (6 people). Kyrgyz Republic. Arrange for their transportation from their place of accommodation to the airport and back.

7.	Ordering and providing meals for the participants of seminars in an agreed format.
Organization of meals at the seminar venue in the Republic of Tajikistan - 1 coffee break between classes (for 66 people).  
8.	Other instructions and wishes of the Customer
Other assignments and/or the Customer 's wishes, as part of the preparation and conduct of the seminar, shall be binding on the Consultant only if they are in writing and if there are reserves in the estimate agreed upon by the parties, or if the Customer additionally pays for the said assignments (wishes) by the Customer.
9.	Resources provided by the Customer
9.1 The Customer shall provide the Consultant with all information required for the organization of the seminar.
9.2 The Customer shall provide the Consultant with comments on the project content, if necessary.
9.3 The Customer shall provide lecturers to conduct seminars.

10.	Report of the Consultant
10.1 The Consultant shall carry out the work under the Contract under the supervision of the Project Coordinator (ikostetskaya@gmail.com) and the Methodologist.
10.2 After signing the contract, the Consultant shall submit a work plan for the assignment within three working days and agree it with the Customer. According to the results of agreeing the Act of agreement of the work plan will be signed.
10.3 Within 15 working days of the Customer's approval of the work plan, the Consultant shall submit a report with information on airline tickets purchased, minibus rentals and room reservations for accommodation/workshops in the Kyrgyz Republic/Moscow, which shall be approved by signing of the Act of Approval of Procurement.
10.3 Based on the results of the work under the Contract, the Consultant shall submit a full technical and financial report (requirements for the content of the reports are set out in the Appendix to the Contract) on the services provided under the Contract (in accordance with these Terms of Reference). Upon acceptance of the report by the Customer, an Act of Services rendered shall be signed by the Customer and the Consultant.
10.4 Location of Services: Moscow and the Kyrgyz Republic.
10.5 Term of Services: within a period not exceeding 90 days from the effective date of the Contract. The period of performance of the contract begins tentatively in March 2021 and continues until May 15, 2021.

Appendix 1 to the Terms of Reference
PROGRAMME of seminars
No. CQS KR 3.1
Seminar 1
Location: Moscow
Number of participants: 12 drivers, engineers and technicians
Number of teachers: 2
Duration: 2 days
Auditorium - 1 for 1 day
Industrial site of the road-train supplier - 1 day

Seminar 2. General
Location: Kyrgyz Republic
Number of participants: 60 people
Number of teachers: 6
Classes are common for all 60 people.
Duration: 3 days
Auditorium
Topics: General issues of organizing and conducting preventive examinations, including primary and secondary appointments, identifying various diseases, preparing an opinion on the state of health, organizing dispensary supervision and prevention of various diseases.
Duration: 24 hours (3 days), including practical exercises and final evaluation. 8 hours per day (3 sessions).

Seminar 3. By groups
Location: Kyrgyz Republic
Number of participants: 60
Number of instructors: 6
Duration: 3 days
Classrooms: 3

Subgroup 1 (20 people) Cardiovascular assessment, including practical exercises and final evaluation. 24 hours (3 days) = 8 hours per day - 3 sessions.

2nd subgroup (20 people). Respiratory assessment, including practical exercises and final evaluation. 24 hours (3 days) = 8 hours per day - 3 sessions.

3rd subgroup (10 people) Monitoring and evaluation (basics of medical statistics and assessment of quality of care). 24 hours (3 days) = 8 hours per day - 3 sessions.